title: Dorsal forearm adipofascial turnover flap among the elderly.
abstract: We have assessed the results of soft tissue cover on the back of the hand using an adipofascial turnover flap. From 2004 until 2007, 14 patients (mean age: 62 years) underwent reconstruction of extensive defects in the dorsum of the hand, using a forearm adipofascial turnover flap based on the perforators of the anterior interosseous artery covered with a split skin graft. The pivot point of the flap is typically 4-6 cm proximal to the level of the radial styloid process. In 93% of patients, the reconstruction healed without any problem. The adipofascial turnover flap is a useful and reliable method of reconstruction of the dorsum of the hand even in elderly patients.
authors.affiliation: Service of Hand Surgery and Reconstructive Microsurgery, Hospital São Lucas, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil. jeffmao@terra.com.br
authors.forename: J Braga
authors.initials: JB
authors.lastname: Silva
authors.forename: A V
authors.initials: AV
authors.lastname: Padoin
authors.forename: A
authors.initials: A
authors.lastname: Gazzalle
authors.forename: G L
authors.initials: GL
authors.lastname: da Cunha
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation; D000368:Aged; D005205:Fascia / Q000637:transplantation; D005260:Female; D005542:Forearm / Q000601:surgery; D006225:Hand / Q000098:blood supply / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps / Q000098:blood supply; D016896:Treatment Outcome; D014945:Wound Healing